Provider Demographics
NPI:1669639159
Name:TONNU, VICTORIA VAN THUONG (PHARM D)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:VAN THUONG
Last Name:TONNU
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9898 BOLSA AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-6677
Mailing Address - Country:US
Mailing Address - Phone:714-839-1197
Mailing Address - Fax:714-839-1196
Practice Address - Street 1:9898 BOLSA AVE
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-6677
Practice Address - Country:US
Practice Address - Phone:714-839-1197
Practice Address - Fax:714-839-1196
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50604183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist